State of New Hampshire APPLICATION FOR CERTIFICATE OF AUTHORITY - FOR PROFIT FOREIGN CORPORATION NOTES FOR COMPLETING FORM 40 (RSA 293-A:15.03) Article First: The EXACT name of the corporation as registered with the state of incorporation’s secretary of state. The name must match exactly as on record including punctuation wherever it appears on the Form 40/SRA Addendum application. (Please reference your certificate of good standing/existence). Article Second: To be completed only if the Corporation’s name has been deemed unavailable by the New Hampshire Secretary of State or in the case where a corporate designation must be used. If the name of the corporation does not contain the word "Corporation", "Incorporated" or "Limited" or an abbreviation thereof, list the name of the corporation with the word or abbreviation which it elects to add thereto for use in New Hampshire in this article only. Article Third: The state of incorporation or country (if outside the U.S.) must be listed. Article Fourth: The exact date of Incorporation with the corporation’s state of domicile’s Secretary of State. This must be a month/day/year date. The period of duration is to be listed. If there is none then it must be listed as “perpetual” or “ongoing”. Article Fifth: The complete address of its principal office. This must be a street address, city, state and zip code; post office box, if any, may be included. All mail will be directed to this address unless otherwise specified. Article Sixth: The name of its registered agent in New Hampshire and the complete address including zip code and post office box, if any, of its registered office in New Hampshire. The registered agent can be either an individual, who is a resident of New Hampshire or a corporation that is registered to do business in New Hampshire and is in good standing. The registered agent is responsible for receiving any legal document on behalf of the corporation. Your application will not be processed without an agent named or if an out of state address is listed. Please refer to RSA 293 A:15.07, Registered Office and Registered Agent of Foreign Corporations for further explanation. Article Seventh: The sale or offer for sale of any ownership interests in this business will comply with the requirements of the New Hampshire Uniform Securities Act (RSA 421-B). Form SRA must be completed and submitted with the Form 40; refer to the Instructions for Form SRA – Addendum to Business Organization and Registration Forms for completion. Article Eighth: We ask for a short description of services. This is not required by statute but may be helpful in determining the availability of the corporation’s name. Article Ninth: Please list the names and addresses of all of the current officers and directors; use an additional sheet if necessary. If the laws in your state of incorporation do not require directors, please indicate in the space provided for the directors “none required by law”. Application Signatures: The forms must be signed by the chairman of the board of directors, president or another officer; or see RSA 293-A:1.20(f) for alternative signatures. The signature MUST be an original signature. A stamped, photocopied or computer generated signature will not be accepted. An ORIGINAL certificate of legal existence or good standing from the secretary of state or other official having custody of corporate records in the corporation’s state of domicile must accompany this application. (Photocopies or fax copies will not be accepted.) The certificate must be duly authenticated within 60 days of the filing of this application by the proper officer of the state or country under the laws of which the corporation is organized. (A certificate of good standing regarding taxes from a state department of revenue administration is not acceptable.) Please call the Corporation Division (603-271-3244) with any questions you may have regarding this application. Mail fees, DATED & SIGNED ORIGINAL, ORIGINAL CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION AND FORM SRA to: Corporate Form 40 Instruct V-1.0 Division, Department of State, 107 North Main Street, Concord, NH 03301-4989. American LegalNet, Inc. www.FormsWorkflow.com State of New Hampshire Filing fee: $50.00 Fee for Form SRA: $50.00 Total fees $100.00 Use black print or type. Form 40 RSA 293-A:15.03 Form must be single-sided on 8½” x 11”paper; double sided copies will not be accepted. APPLICATION FOR CERTIFICATE OF AUTHORITY FOR PROFIT FOREIGN CORPORATION TO THE SECRETARY OF STATE OF THE STATE OF NEW HAMPSHIRE PURSUANT TO THE PROVISIONS OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT, THE UNDERSIGNED CORPORATION HEREBY APPLIES FOR A CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS IN NEW HAMPSHIRE AND FOR THAT PURPOSE SUBMITS THE FOLLOWING STATEMENT: FIRST: The name of the corporation is . SECOND: The name which it elects to use in New Hampshire is . . THIRD: It is incorporated under the laws of and FOURTH: The date of its incorporation is . the period of its duration is FIFTH: The complete address (including zip code and post office box, if any) of its principal office is . SIXTH: The name of its registered agent IN NEW HAMPSHIRE is and the complete address (including zip code and post office box, if any) of its registered office IN NEW HAMPSHIRE is (agent's business address) . SEVENTH: The sale or offer for sale of any ownership interests in this business will comply with the requirements of the New Hampshire Uniform Securities Act (RSA 421-B). EIGHTH: The principal purpose or purposes which it proposes to pursue in the transaction of business in New Hampshire are . Page 1 of 2 Form 40 Page 1 V-1.0 American LegalNet, Inc. www.FormsWorkflow.com APPLICATION FOR CERTIFICATE OF AUTHORITY Form 40 (Cont.) NINTH: The names and usual business addresses of its current officers and directors are: (If there are additional officers or directors, attach additional sheet OR if the laws of the state of incorporation do not require directors, indicate below.) Name Title Address OFFICERS DIRECTORS By Signature of its Print or type name Date signed: DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fees, DATED & SIGNED ORIGINAL, ORIGINAL CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION AND FORM SRA to: Corporate Division, Department of State, 107 North Main Street, Concord, NH 03301-4989. Page 2 of 2 10/08 Form 40 Page 2 V-1.0 American LegalNet, Inc. www.FormsWorkflow.com